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Southerncare, Inc.
Community Based Hospice Care Agency in Green Bay, Wisconsin
NPI 1992744775

Southerncare, Inc. is a Community Based Hospice Care Agency based in Mooresville, WI. Southerncare, Inc. practices in Green Bay, WI. The NPI Number for Southerncare, Inc. is 1992744775 and holds a License No. (Wisconsin).

The current practice location address for Southerncare, Inc. is 1800 W Mason St Ste A, Green Bay, WI and can be reached out via phone at 920-496-1690 and via fax at 920-496-1693.

Location: 1800 W Mason St Ste A, Green Bay, WI, 28117-9125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992744775
Provider Name
Southerncare, Inc.
Credential
Provider Entity Type
Organization
Address
1800 W Mason St Ste A, Green Bay, WI, 28117-9125
Phone Number
920-496-1690
Fax Number
920-496-1693
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2016 01 WI STATE LICENSE NUMBER
43191100 05 WI
institution
Provider Business Practice Location Address Details
Address
1800 W Mason St Ste A
City
Green Bay
State
Wisconsin
Zip
54303-2333
Phone Number
920-496-1690
Fax Number
920-496-1693
person
Provider Business Mailing Address Details
Address
1800 W Mason St Ste A
City
Green Bay
State
Wisconsin
Zip
54303-2333
Phone Number
920-496-1690
Fax Number
920-496-1693
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
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Definition
Definition to come...
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